新乡市环境空气污染物对哮喘门诊就诊的影响

IF 2.6 3区地球科学 Q2 BIOPHYSICS

International Journal of Biometeorology Pub Date : 2025-10-01 DOI:10.1007/s00484-025-03019-x

Qian Wang, Zhikang Jiao, Hongyue Liang, Jiaqi Duan, Yanwei Du, Yongbin Wang, Yongbin Wang

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引用次数: 0

摘要

最近的研究表明，空气污染与哮喘的发生密切相关。采用分布滞后非线性模型分析2016年1月1日至2021年12月31日河南省新乡市4家医院58,610例哮喘门诊就诊与PM2.5、PM10、NO2、SO2、CO及8小时平均O3暴露量的关系，并进行性别、年龄分层分析。结果表明，低浓度的PM2.5（40µg/m3）、PM10（20和80µg/m3）、CO （0.8 mg/m3）、NO2（10-30µg/m3）和SO2（15µg/m3）暴露降低了哮喘患者的门诊就诊次数。高水平的PM2.5（50-100µg/m3）、PM10（100-140和820µg/m3）和SO2（20-25µg/m3）暴露增加了哮喘患者的门诊就诊次数。8小时平均臭氧暴露浓度低（15-60µg/m3）和高（150-205µg/m3）都增加了哮喘门诊就诊人次。性别分层分析显示，当CO暴露浓度为0.8 mg/m3时，男性哮喘患者的日门诊就诊次数减少；女性哮喘患者在so2暴露浓度为15µg/m³时，日门诊次数减少，在so2暴露浓度为20µg/m3时，日门诊次数增加。相比之下，低浓度和高浓度的8小时平均臭氧暴露都增加了男性哮喘患者的每日门诊就诊次数。另外，当8小时平均O3暴露浓度为10 ~ 30µg/m3，每日SO2暴露浓度为20µg/m3时，成人哮喘门诊就诊次数增加；当O3 8小时平均暴露浓度为145 ~ 220µg/m3， SO2日暴露浓度为50 ~ 110µg/m3时，青少年哮喘门诊就诊人次增加。这项研究表明，哮喘患者应该在空气质量差的日子里限制户外活动，尤其是女性和青少年。

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The influence of environmental air pollutants on asthma outpatient hospital visits in Xinxiang city, China.

Recent studies have shown a close correlation between air pollution and the occurrence of asthma. A distributed lag nonlinear model was used in this research to analyze the relationship between 58,610 asthma outpatient hospital visits and daily PM_2.5, PM₁₀, NO₂, SO₂, CO, and eight hour mean O₃ exposure from 4 hospitals in Xinxiang City, Henan province from January 1, 2016 to December 31, 2021, and a stratified analysis of gender and age were conducted. Results showed that low concentrations of daily PM_2.5 (40 µg/m³), PM₁₀ (20 and 80 µg/m³), CO (0.8 mg/m³), NO₂ (10-30 µg/m³) and SO₂ (15 µg/m³) exposure reduced the number of outpatient visits for asthma patients. High levels of daily PM_2.5 (50-100 µg/m³), PM₁₀ (100-140 and 820 µg/m³), and SO₂ (20-25 µg/m³) exposure increased the number of outpatient visits for asthma patients. Both low (15-60 µg/m³) and high (150-205 µg/m³) concentrations of the eight hour mean O₃ exposure increased asthma outpatient hospital visits. Gender-stratified analysis revealed that, for male asthma patients, the daily outpatient visits decreased when CO exposure concentration of 0.8 mg/m³; while for female asthma patients, the daily outpatient visits decreased when SO₂ exposure concentration of 15 µg/m³, but increased when the concentration was 20 µg/m³. In comparison, both low and high concentrations of eight hour mean O₃ exposure increased the daily male asthma outpatient hospital visits. Additionally, when the eight hour mean O₃ exposure concentration was 10-30 µg/m³ and the daily SO₂ exposure concentration was 20 µg/m³, asthma outpatient hospital visits for adult increased; when the eight hour mean O₃ exposure concentration was 145-220 µg/m³ and the daily SO₂ exposure concentration was 50-110 µg/m³, asthma outpatient hospital visits for adolescent increased. This study suggests that asthma patients should limit going outdoors on days with poor air quality, especially for women and adolescents.

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来源期刊

International Journal of Biometeorology 地学-环境科学

CiteScore

6.40

自引率

9.40%

发文量

183

审稿时长

1 months

期刊介绍： The Journal publishes original research papers, review articles and short communications on studies examining the interactions between living organisms and factors of the natural and artificial atmospheric environment. Living organisms extend from single cell organisms, to plants and animals, including humans. The atmospheric environment includes climate and weather, electromagnetic radiation, and chemical and biological pollutants. The journal embraces basic and applied research and practical aspects such as living conditions, agriculture, forestry, and health. The journal is published for the International Society of Biometeorology, and most membership categories include a subscription to the Journal.